Provider Demographics
NPI:1144360926
Name:GENUINE HEALTH HOME CARE
Entity type:Organization
Organization Name:GENUINE HEALTH HOME CARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:KOBETZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:305-557-5950
Mailing Address - Street 1:806 S DOUGLAS RD STE 700
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-2082
Mailing Address - Country:US
Mailing Address - Phone:305-557-5950
Mailing Address - Fax:305-557-5830
Practice Address - Street 1:806 S DOUGLAS RD STE 700
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-2082
Practice Address - Country:US
Practice Address - Phone:305-557-5950
Practice Address - Fax:305-557-5830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-08
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299991936251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL108312Medicare PIN